| NPI | 1063138204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 284981) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AZ 208245) |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2023-05-30 |